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REPORT INCIDENT
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May 13, 2026
REPORT INCIDENT →
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Report Incidence
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Reporter Information
-
Step
1
of 6
Full Name
*
Email
*
Phone
*
Organization / Agency
Role/Position
Next
Incident Title
*
Type of Incident
*
--- Select Choice ---
Phishing Attack
Malware Infection
Ransomware
Unauthorized Access
Data Breach
Website Defacement
Denial of Service (DoS/DDoS)
Insider Threat
Others (specify)
Others
Date of Incident
*
Time of Incident
Location/System Affected
*
(e.g., website, server, email system)
Next
Detailed Description of the Incident
*
How was the incident discovered?
*
Incident Location/System been
What actions have been taken so far?
*
Next
Affected IP Address(es)
Domain/URL involved
Device(s) affected
(Laptop, Server, Mobile, etc.)
Operating System
Browser/Application (if applicable)
Next
Upload Supporting Files
Drag & Drop Files,
Choose Files to Upload
You can upload up to 10 files.
Screenshots, Logs, Emails, Documents
Next
What is the impact of the incident?
Data Loss
Financial Loss
Service Disruption
Reputational Damage
None / Unknown
Estimated Number of Users Affected
Confidentiality & Consent
I confirm that the information provided is accurate
I agree to share this report for investigation purposes
Submit
